Joint-like connections between clavicula and coracoid process are rarely diagnosed. In routine radiological examinations of the thorax, the authors found a posttraumatic ossification of the coracoclavicular ligament in four patients. This phenomenon can occasionally be the cause of shoulder pain. The anatomy and pathogenesis are described, with x-ray film examples, on the basis of four cases.
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JBJS Case Connect
July 2024
Department of Orthopedic surgery, Hôpital Ambroise Paré, AP-HP, UVSQ University, Boulogne-Billancourt, France.
Case: A patient presented with complete coracoclavicular ligament ossification after an unnoticed acromioclavicular joint Rockwood Type IV dislocation. He had full passive range of motion in the glenohumeral joint but was disabled by a loss of both active (80°) and passive (90°) abduction due to insufficient passive scapulo-thoracic motion. He was treated with an arthroscopic osteotomy of the coracoclavicular ligament ossification.
View Article and Find Full Text PDFClin Shoulder Elb
June 2024
Department of Orthopedic Surgery, AZ Delta Roeselare, Roeselare, Belgium.
Background: Standard open acromioclavicular (AC) stabilization is associated with increased postoperative complications including deltoid injury, infection, tunnel complications, loss of reduction, and wound/cosmetic concerns. Arthroscopy may offer superior visualization and advantages that limit these risks. The aim of this prospective non-randomized study is to evaluate advantages and long-term reliability of arthroscopic AC stabilization.
View Article and Find Full Text PDFMod Rheumatol Case Rep
July 2024
Department of Orthopaedic Surgery, Hirosaki Memorial Hospital, Hirosaki, Japan.
Sternocostoclavicular hyperostosis (SCCH) has been reported in patients with pustulotic arthro-osteitis, but there are few reports of marked ossification of the lateral part of the clavicle. Here, we report a case of stress fracture in a patient with SCCH with marked ossification of the lateral part of the clavicle. In this case, the clavicular fracture was proximal and no dislocation.
View Article and Find Full Text PDFOrthop J Sports Med
August 2023
Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charitè University Hospital, Berlin, Germany.
Background: Evidence for the superiority of surgical versus nonsurgical treatment of Rockwood type 3 acromioclavicular joint (ACJ) dislocation is still lacking.
Hypothesis: It was hypothesized that surgical treatment will outperform nonsurgical treatment.
Study Design: Randomized controlled trial; Level of evidence, 1.
Arthroscopy
November 2023
Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland; Department of Shoulder and Elbow Surgery, Center for Musculoskeletal Surgery, Charité-Universitaetsmedizin, Berlin, Germany. Electronic address:
Purpose: To compare the 2-year clinical and radiological outcomes of an arthroscopic-assisted bidirectional stabilization procedure using a single low-profile (LPSB) or double-suture button (DSB) technique with additional percutaneous acromioclavicular (AC) cerclage fixation for patients with acute high-grade AC joint dislocation.
Methods: This retrospective cohort study compared male patients aged between 18 and 56 years with acute high-grade AC joint dislocation fixed with either a LPSB or DSB technique. Patients were examined at least 24 months after surgery.
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